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St Luke's Hospice Kenton Grange Hospice Harrow & Brent Inadequate

Inspection Summary


Overall summary & rating

Inadequate

Updated 15 December 2021

Our rating of this location went down. We rated it as inadequate because:

  • The service did not always control infection risk well. Staff did not always use equipment and control measures to protect patients, themselves and others from infection. They did not always keep equipment and the premises visibly clean.
  • The service provided mandatory training in key skills to all staff but did not make sure everyone completed it.
  • The design, maintenance and use of facilities, premises and equipment did not always keep people safe.
  • The service used systems and processes to safely prescribe and record medications, but they did not always safely administer and store medicines.
  • Staff did not always keep detailed records of patients’ care and treatment. Records were not always clear or up to date.
  • Staff did not assess or monitor patients regularly to see if they were in pain and therefore may not always give pain relief in a timely way.
  • Leaders did not always operate effective governance processes throughout the service and with partner organisations.
  • Leaders and teams did not always identify and escalate relevant risks and issues or identify actions to reduce their impact.

However:

  • The service had enough staff to care for patients and keep them safe.
  • Staff provided good care and treatment and gave patients enough to eat and drink.
  • Staff treated patients with compassion and kindness, respected their privacy and dignity, took account of their individual needs, and helped them understand their conditions. They provided emotional support to patients, families and carers.
  • Staff worked well together for the benefit of patients, advised them on how to lead healthier lives, supported them to make decisions about their care, and had access to good information.
Inspection areas

Safe

Inadequate

Updated 15 December 2021

Effective

Requires improvement

Updated 15 December 2021

Caring

Good

Updated 15 December 2021

Responsive

Good

Updated 15 December 2021

Well-led

Inadequate

Updated 15 December 2021

Checks on specific services

Hospice services for adults

Inadequate

Updated 15 December 2021

Our rating of this location went down. We rated it as inadequate because:

  • The service did not always control infection risk well. Staff did not always use equipment and control measures to protect patients, themselves and others from infection. They did not always keep equipment and the premises visibly clean.
  • The service provided mandatory training in key skills to all staff but did not make sure everyone completed it.
  • The design, maintenance and use of facilities, premises and equipment did not always keep people safe.
  • The service used systems and processes to safely prescribe and record medications, but they did not always safely administer and store medicines.
  • Staff did not always keep detailed records of patients’ care and treatment. Records were not always clear or up to date.
  • Staff did not assess or monitor patients regularly to see if they were in pain and therefore may not always give pain relief in a timely way.
  • Leaders did not always operate effective governance processes throughout the service and with partner organisations.
  • Leaders and teams did not always identify and escalate relevant risks and issues or identify actions to reduce their impact.

However:

  • The service had enough staff to care for patients and keep them safe.
  • Staff provided good care and treatment and gave patients enough to eat and drink.